| NPI | 1194951798 |
|---|---|
| Doing Business As | GRAND PRAIRIE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | BEHROOZ KHADEMAZAD Owner 972-988-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 15515) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |